| Above & Beyond Care Professionals Llc | |
|
1305 Delhi St Bossier City LA 71111-4626 | |
| (318) 934-1919 | |
| (318) 934-1921 |
| Full Name | Above & Beyond Care Professionals Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1305 Delhi St, Bossier City, Louisiana |
| Authorized Official Name and Position | Carrie L Fuller (PRESIDENT-OFFICE MANAGER) |
| Authorized Official Contact | 3189341919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Above & Beyond Care Professionals Llc 1305 Delhi St Bossier City LA 71111-4626 Ph: (318) 934-1919 | Above & Beyond Care Professionals Llc 1305 Delhi St Bossier City LA 71111-4626 Ph: (318) 934-1919 |
| NPI Number | 1578610275 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578610275 | NPI | - | NPPES |
| 1161021 | Medicaid | LA | |
| 4504951 | Other | LA | EMC PERMITTER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1161021 (Louisiana) | Primary |
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